{"id":5248,"date":"2026-05-04T05:32:08","date_gmt":"2026-05-04T05:32:08","guid":{"rendered":"https:\/\/telescopecenter.com\/?page_id=5248"},"modified":"2026-06-08T11:43:53","modified_gmt":"2026-06-08T11:43:53","slug":"medical-request-report","status":"publish","type":"page","link":"https:\/\/telescopecenter.com\/ar\/medical-request-report\/","title":{"rendered":"Medical Request Report"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5248\" class=\"elementor elementor-5248\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c3e66ff e-con-full e-flex e-con e-parent\" data-id=\"c3e66ff\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;shape_divider_bottom&quot;:&quot;curve&quot;}\">\n\t\t\t\t<div class=\"elementor-shape elementor-shape-bottom\" aria-hidden=\"true\" data-negative=\"false\">\n\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 1000 100\" preserveAspectRatio=\"none\">\n    <path class=\"elementor-shape-fill\" d=\"M1000,4.3V0H0v4.3C0.9,23.1,126.7,99.2,500,100S1000,22.7,1000,4.3z\"\/>\n<\/svg>\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-d839a72 e-con-full container e-flex e-con e-child\" data-id=\"d839a72\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-20efd87 e-con-full e-flex e-con e-child\" data-id=\"20efd87\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-8331b6f e-con-full e-flex e-con e-child\" data-id=\"8331b6f\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fdce32b animated-fast elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"fdce32b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:200}\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\"> Medical Report Request<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a19407b elementor-widget-tablet__width-inherit animated-fast elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"a19407b\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;,&quot;_animation_delay&quot;:400}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t\t\t\t\t\tPatients may request official medical reports, visit summaries, or treatment documentation through this page. Kindly complete the form below, and our team will review your request and contact you once it is ready.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-2562218 e-con-full e-flex e-con e-parent\" data-id=\"2562218\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-c98b4bc e-con-full container e-flex e-con e-child\" data-id=\"c98b4bc\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t<div class=\"elementor-element elementor-element-f463323 e-con-full e-flex e-con e-child\" data-id=\"f463323\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4f925ae elementor-widget elementor-widget-image\" data-id=\"4f925ae\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"155\" height=\"38\" src=\"https:\/\/telescopecenter.com\/wp-content\/uploads\/2026\/01\/Telescope-Medical-Center-Logo-Color.svg\" class=\"attachment-large size-large wp-image-222\" alt=\"Telescope Medical Center Logo Color\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-e291920 e-con-full e-flex e-con e-child\" data-id=\"e291920\" data-element_type=\"container\" data-e-type=\"container\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t<div class=\"elementor-element elementor-element-8401919 e-con-full e-flex e-con e-child\" data-id=\"8401919\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3598a0a elementor-widget elementor-widget-html\" data-id=\"3598a0a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t\t<!-- CLOCKPICKER CSS -->\n<link rel=\"stylesheet\" href=\"https:\/\/weareoutman.github.io\/clockpicker\/dist\/jquery-clockpicker.min.css\">\n\n<!-- jQuery -->\n<script src=\"https:\/\/cdnjs.cloudflare.com\/ajax\/libs\/jquery\/3.6.0\/jquery.min.js\"><\/script>\n\n<!-- CLOCKPICKER JS -->\n<script src=\"https:\/\/weareoutman.github.io\/clockpicker\/dist\/jquery-clockpicker.min.js\"><\/script>\n\n<style>\ninput{\n    flex-shrink: 0;\n    height: 56px;\n}\n\/* ========================= COMMON WRAPPER ========================= *\/\n.field-wrapper {\n    position: relative;\n    display: contents;\n    width: 100%;\n    height: 100%;\n}\n\n\/* ========================= FLOATING PLACEHOLDER ========================= *\/\n.custom-placeholder {\n    position: absolute;\n    left: 14px;\n    top: 50%;\n    transform: translateY(-50%);\n    pointer-events: none;\n    transition: 0.3s ease;\n    background: #fff;\n    padding: 0 6px;\n    z-index: 3;\n    font-family: \"Alexandria\", sans-serif;\n    font-size: 18px;\n        font-weight: 400;\n    line-height: 22px;\n    color: #00000040;\n}\n\n\/* ACTIVE STATE *\/\n.field-wrapper.active .custom-placeholder {\n    display: none;\n}\n\n\/* INPUT FIX *\/\n.elementor-field {\n    position: relative;\n    z-index: 2;\n    background: transparent;\n}\n\n\/* Fix iOS \/ Android UI overlap *\/\ninput[type=\"date\"], input.clockpicker {\n    appearance: none;\n    -webkit-appearance: none;\n    background-color: transparent;\n}\n\ninput[type=\"preffereddate\"], input.clockpicker {\n    appearance: none;\n    -webkit-appearance: none;\n    background-color: transparent;\n}\n\n.flatpickr-time {\n    display: none !important;\n}\n\n\n\n.elementor-upload-field{\n    position: relative;\n}\n\n#form-field-uploadid{\n    width: 100%;\n    height: 80px;\n    padding: 40px 14px 40px 14px;\n    border: 1px solid #0000001A;\n}\n\n.elementor-upload-field:after{\n    content: \"Upload ID\";\n    font-family: \"Alexandria\", Sans-serif;\n    font-size: 18px;\n    font-weight: 400;\n    line-height: 22px;\n    color: #000000;\n    position: absolute;\n    top: 10px;\n    left: 20px;\n    z-index: 9;\n}\n\n\/* Arabic override *\/\nhtml[lang=\"ar\"] .elementor-field-group-field_2b1c4e7:after {\n    content: \"\u0631\u0641\u0639 \u0627\u0644\u0647\u0648\u064a\u0629\";\n    right: 20px;\n}\n\n#form-field-field_ecdec07{\n    height: 80px;\n}\n\n\n@media(max-width: 768px){\n    .custom-placeholder {\n    position: absolute;\n    left: 14px;\n    top: 50%;\n    transform: translateY(-50%);\n    pointer-events: none;\n    transition: 0.3s ease;\n    background: #fff;\n    padding: 0 6px;\n    z-index: 3;\n    font-family: \"Alexandria\", sans-serif;\n    font-size: 16px;\n    color: #000;\n}\n\n.elementor-field-group-field_2b1c4e7:after{\n    content: \"Upload ID\";\n    font-family: \"Alexandria\", Sans-serif;\n    font-size: 16px;\n    font-weight: 400;\n    line-height: 22px;\n    color: #000000;\n    position: absolute;\n    top: 10px;\n    left: 20px;\n    z-index: 9;\n}\n}\n<\/style>\n\n<script>\n(function($){\n    function initFields(scope){\n        \/* ========================= TIME FIELDS (Clockpicker + Validation) ========================== *\/\n        scope.find('input[type=\"time\"], input[data-clockpicker]').each(function(){\n            let input = $(this);\n\n            \/\/ Force type text to disable native picker\n            input.attr('type', 'text');\n            input.addClass('clockpicker');\n\n            \/\/ Wrap input if not already\n            if (!input.parent().hasClass('field-wrapper')) {\n                input.wrap('<div class=\"field-wrapper\"><\/div>');\n                input.after('<span class=\"custom-placeholder\">' + (input.attr('placeholder') || 'Preferred Time') + '<\/span>');\n            }\n\n            let wrapper = input.parent();\n\n            function updateState(){\n                if(input.val()){\n                    wrapper.addClass('active');\n                } else {\n                    wrapper.removeClass('active');\n                }\n            }\n\n            input.on('focus click', () => wrapper.addClass('active'));\n            input.on('blur', () => setTimeout(updateState,100));\n            input.on('input change', updateState);\n            updateState();\n\n            \/\/ Store last valid time\n            let lastValidTime = \"\";\n\n            \/\/ Validate function\n            function validateTime(){\n                let val = input.val().trim();\n                if(!val) return;\n\n                let hour, minute;\n\n                \/\/ Handle 12-hour format with AM\/PM\n                let match = val.match(\/^(\\d{1,2}):(\\d{2})\\s*([APap][Mm])?$\/);\n                if(match){\n                    hour = parseInt(match[1],10);\n                    minute = parseInt(match[2],10);\n                    let meridian = match[3];\n                    if(meridian){\n                        meridian = meridian.toUpperCase();\n                        if(meridian === 'PM' && hour < 12) hour += 12;\n                        if(meridian === 'AM' && hour === 12) hour = 0;\n                    }\n                } else {\n                    \/\/ Fallback: 24-hour format\n                    let parts = val.split(':');\n                    if(parts.length === 2){\n                        hour = parseInt(parts[0],10);\n                        minute = parseInt(parts[1],10);\n                    } else return; \/\/ Invalid format\n                }\n\n                \/\/ Validate working hours (9:00 - 23:59)\n                if(hour < 9 || hour >= 24){\n                    alert(\"Working hours are from 9 AM to 12 AM. Please choose a valid time.\");\n                    input.val(lastValidTime); \/\/ Reset to last valid\n                } else {\n                    lastValidTime = val;\n                }\n            }\n\n            \/\/ Clockpicker initialization\n            input.clockpicker({\n                placement: 'bottom',\n                align: 'left',\n                autoclose: true,\n                twelvehour: true,\n                donetext: 'Done',\n                afterDone: validateTime\n            });\n\n            \/\/ Also validate on blur\/change (mobile fallback)\n            input.on('blur change', validateTime);\n\n            \/\/ Save last valid time on focus\n            input.on('focus', function(){\n                lastValidTime = input.val();\n            });\n        });\n\n        \/* ========================= DATE FIELDS ========================== *\/\n        scope.find('input[type=\"date\"]').each(function(){\n            let input = $(this);\n            if (!input.parent().hasClass('field-wrapper')) {\n                input.wrap('<div class=\"field-wrapper\"><\/div>');\n                input.after('<span class=\"custom-placeholder\">' + (input.attr('placeholder') || 'Date Of Birth') + '<\/span>');\n            }\n\n            let wrapper = input.parent();\n\n            function updateState(){\n                if(input.val()){\n                    wrapper.addClass('active');\n                } else {\n                    wrapper.removeClass('active');\n                }\n            }\n\n            input.on('focus click', () => wrapper.addClass('active'));\n            input.on('blur', () => setTimeout(updateState,100));\n            input.on('input change', updateState);\n            updateState();\n        });\n    }\n\n\n\n\n\n\n\n    \/\/ Elementor hook\n    $(window).on('elementor\/frontend\/init', function () {\n        elementorFrontend.hooks.addAction('frontend\/element_ready\/form.default', initFields);\n    });\n})(jQuery);\n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-56b417c derma-form elementor-button-align-stretch elementor-widget elementor-widget-form\" data-id=\"56b417c\" data-element_type=\"widget\" data-e-type=\"widget\" data-settings=\"{&quot;step_next_label&quot;:&quot;Next&quot;,&quot;step_previous_label&quot;:&quot;Previous&quot;,&quot;button_width&quot;:&quot;100&quot;,&quot;step_type&quot;:&quot;number_text&quot;,&quot;step_icon_shape&quot;:&quot;circle&quot;}\" data-widget_type=\"form.default\">\n\t\t\t\t\t\t\t<form class=\"elementor-form\" method=\"post\" name=\" Medical Report Request Form\" aria-label=\" Medical Report Request Form\">\n\t\t\t<input type=\"hidden\" name=\"post_id\" value=\"5248\"\/>\n\t\t\t<input type=\"hidden\" name=\"form_id\" value=\"56b417c\"\/>\n\t\t\t<input type=\"hidden\" name=\"referer_title\" value=\"Medical Request Report - Telescope Medical Center\" \/>\n\n\t\t\t\t\t\t\t<input type=\"hidden\" name=\"queried_id\" value=\"5248\"\/>\n\t\t\t\n\t\t\t<div class=\"elementor-form-fields-wrapper elementor-labels-\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-name elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-name\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tFull Name\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[name]\" id=\"form-field-name\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Full Name\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-passportnumber elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-passportnumber\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tNational ID \/ Passport Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[passportnumber]\" id=\"form-field-passportnumber\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"National ID \/ Passport Number\" required=\"required\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-dateofbirth elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-dateofbirth\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tDate Of Birth\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[dateofbirth]\" id=\"form-field-dateofbirth\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date Of Birth\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-tel elementor-field-group elementor-column elementor-field-group-mobilenumber elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-mobilenumber\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tMobile Number\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<span class=\"ccfef-editor-intl-input\" data-id=\"form-field-mobilenumber\" data-field-id=\"5781390\" data-default-country=\"in\" data-include-countries=\"\" data-exclude-countries=\"\" data-dial-code-visibility=\"show\" data-strict-mode=\"no\" style=\"display: none;\"><\/span>\t\t<input size=\"1\" type=\"tel\" name=\"form_fields[mobilenumber]\" id=\"form-field-mobilenumber\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Mobile Number\" required=\"required\" pattern=\"[0-9()#&amp;+*-=.]+\" title=\"Only numbers and phone characters (#, -, *, etc) are accepted.\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-email elementor-field-group elementor-column elementor-field-group-emailaddress elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-emailaddress\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tEmail Address\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"email\" name=\"form_fields[emailaddress]\" id=\"form-field-emailaddress\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Email Address\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-typeofreport elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-typeofreport\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tType of Report Required\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[typeofreport]\" id=\"form-field-typeofreport\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Type of Report Required <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Medical Report\">Medical Report <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Sick Leave Report\">Sick Leave Report <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Visit Summary\">Visit Summary <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Insurance Report\">Insurance Report <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Other\">Other <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-date elementor-field-group elementor-column elementor-field-group-preffereddate elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-preffereddate\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tDate of Visit\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\n\t\t<input type=\"date\" name=\"form_fields[preffereddate]\" id=\"form-field-preffereddate\" class=\"elementor-field elementor-size-sm  elementor-field-textual elementor-date-field\" placeholder=\"Date of Visit\" required=\"required\" pattern=\"[0-9]{4}-[0-9]{2}-[0-9]{2}\">\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-treatingdoctor elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-treatingdoctor\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tTreating Doctor\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[treatingdoctor]\" id=\"form-field-treatingdoctor\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Treating Doctor\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-text elementor-field-group elementor-column elementor-field-group-purposeofrequest elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-purposeofrequest\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPurpose of Request\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<input size=\"1\" type=\"text\" name=\"form_fields[purposeofrequest]\" id=\"form-field-purposeofrequest\" class=\"elementor-field elementor-size-sm  elementor-field-textual\" placeholder=\"Purpose of Request\">\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-reportlanguage elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-reportlanguage\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tReport Language \t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[reportlanguage]\" id=\"form-field-reportlanguage\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Report Language <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" English \">English <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Arabic \">Arabic <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-select elementor-field-group elementor-column elementor-field-group-preffereddelivertymethod elementor-col-50 elementor-field-required\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-preffereddelivertymethod\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tPreferred Delivery Method\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field elementor-select-wrapper remove-before \">\n\t\t\t<div class=\"select-caret-down-wrapper\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-eicon-caret-down\" viewBox=\"0 0 571.4 571.4\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M571 393Q571 407 561 418L311 668Q300 679 286 679T261 668L11 418Q0 407 0 393T11 368 36 357H536Q550 357 561 368T571 393Z\"><\/path><\/svg>\t\t\t<\/div>\n\t\t\t<select name=\"form_fields[preffereddelivertymethod]\" id=\"form-field-preffereddelivertymethod\" class=\"elementor-field-textual elementor-size-sm\" required=\"required\">\n\t\t\t\t\t\t\t\t\t<option value=\"\">Preferred Delivery Method <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Email\">Email <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" Pickup from Center\">Pickup from Center <\/option>\n\t\t\t\t\t\t\t\t\t<option value=\" WhatsApp Copy\">WhatsApp Copy <\/option>\n\t\t\t\t\t\t\t<\/select>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-upload elementor-field-group elementor-column elementor-field-group-uploadid elementor-col-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-uploadid\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tUpload ID\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t\t\t<input type=\"file\" name=\"form_fields[uploadid]\" id=\"form-field-uploadid\" class=\"elementor-field elementor-size-sm  elementor-upload-field\">\n\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-textarea elementor-field-group elementor-column elementor-field-group-additionalnotes elementor-col-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t<label for=\"form-field-additionalnotes\" class=\"elementor-field-label elementor-screen-only\">\n\t\t\t\t\t\t\t\tAdditional Notes\t\t\t\t\t\t\t<\/label>\n\t\t\t\t\t\t<textarea class=\"elementor-field-textual elementor-field  elementor-size-sm\" name=\"form_fields[additionalnotes]\" id=\"form-field-additionalnotes\" rows=\"1\" placeholder=\"Additional Notes\"><\/textarea>\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-type-html elementor-field-group elementor-column elementor-field-group-field_c451fe0 elementor-col-100\">\n\t\t\t\t\tMedical reports are issued according to center policies and may require identity verification. Processing time may vary depending on report type.\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<div class=\"elementor-field-group elementor-column elementor-field-type-submit elementor-col-100 e-form__buttons\">\n\t\t\t\t\t<button class=\"elementor-button elementor-size-sm\" type=\"submit\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t\t\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10\" height=\"10\" viewBox=\"0 0 10 10\" fill=\"none\"><path d=\"M0.75 9.08333L9.08333 0.75M9.08333 0.75H1.58333M9.08333 0.75V8.25\" stroke=\"white\" stroke-width=\"1.5\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Submit Request<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/button>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t<\/form>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Medical Report Request Patients may request official medical reports, visit summaries, or treatment documentation through this page. Kindly complete the form below, and our team will review your request and contact you once it is ready.<\/p>","protected":false},"author":9,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-5248","page","type-page","status-publish","hentry"],"acf":[],"_hostinger_reach_plugin_has_subscription_block":false,"_hostinger_reach_plugin_is_elementor":false,"_links":{"self":[{"href":"https:\/\/telescopecenter.com\/ar\/wp-json\/wp\/v2\/pages\/5248","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/telescopecenter.com\/ar\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/telescopecenter.com\/ar\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/telescopecenter.com\/ar\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/telescopecenter.com\/ar\/wp-json\/wp\/v2\/comments?post=5248"}],"version-history":[{"count":45,"href":"https:\/\/telescopecenter.com\/ar\/wp-json\/wp\/v2\/pages\/5248\/revisions"}],"predecessor-version":[{"id":7608,"href":"https:\/\/telescopecenter.com\/ar\/wp-json\/wp\/v2\/pages\/5248\/revisions\/7608"}],"wp:attachment":[{"href":"https:\/\/telescopecenter.com\/ar\/wp-json\/wp\/v2\/media?parent=5248"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}